Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,176.52 / $3,176.52 / $5,994.00	Facility		$3,176.52	$3,176.52	$5,994.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,044.55 / $3,176.52 / $4,301.76	Professional		$3,044.55	$3,176.52	$4,301.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,108.66 / $7,156.05 / $18,540.68	Facility		$6,108.66	$7,156.05	$18,540.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,259.28 / $3,438.30 / $8,587.26	Professional		$3,259.28	$3,438.30	$8,587.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,879.13 / $6,830.78 / $59,499.41	Facility		$4,879.13	$6,830.78	$59,499.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,228.58 / $5,854.95 / $13,929.58	Professional		$4,228.58	$5,854.95	$13,929.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $7,464.04	Facility		$3,799.01	$3,799.01	$7,464.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $4,346.79	Professional		$3,229.16	$3,229.16	$4,346.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,799.01 / $3,799.01 / $3,799.01	Facility		$3,799.01	$3,799.01	$3,799.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,799.01 / $3,799.01	Professional		$3,229.16	$3,799.01	$3,799.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,163.67 / $3,245.53 / $4,401.02	Professional		$2,163.67	$3,245.53	$4,401.02